Healthcare Provider Details

I. General information

NPI: 1497846513
Provider Name (Legal Business Name): AMY JOBST MA, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/27/2006
Last Update Date: 01/19/2026
Certification Date: 01/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1804 ADYN AVE
ARNOLD MO
63010-2874
US

IV. Provider business mailing address

1804 ADYN AVE
ARNOLD MO
63010-2874
US

V. Phone/Fax

Practice location:
  • Phone: 314-998-2448
  • Fax:
Mailing address:
  • Phone: 636-296-0664
  • Fax: 314-842-6124

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2002010843
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: